CLYDE L. JOHNSON JR.


Address: 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235
Phone: 8043202705

CLYDE L. JOHNSON JR. (NPI# 1124007851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124007851
Entity Type Individual
Full Name CLYDE L. JOHNSON JR.
Credential M.D.
Practice Address 1051 Johnston Willis Dr.
St. 200
Richmond
VA 23235
Practice Telephone 8043202705
Practice Fax Number 8043302433
Mailing Telephone 8043202705
Mailing Fax Number 8043302433
Enumeration Date 2006-01-11
Last Update Date 2010-03-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 0101-223144 VA Allopathic & Osteopathic Physicians
N 208600000X Surgery 0101223144 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 7310871 05

Other Providers CLYDE JOHNSON

NPI Name Taxonomy Address Enumeration
1821256223 Clyde D Johnson Jr. Physician Assistant 5881 Glendrige Dr Ne, Suite 120, Atlanta, GA 30328 2008-06-02
1447749056 Clyde Johnson IIi Community/Behavioral Health 2525 Tiller Lane Ste 110, Columbus, OH 43231 2018-05-09
1063766723 Clyde Francis Johnson Chiropractor 7940 S University Blvd, Ste 100, Centennial, CO 80122-5104 2012-11-02
1568767317 Clyde Johnson Counselor 930 N 14th St, New Castle, IN 47362-4311 2011-01-25
1962579375 Clyde W Johnson Physical Therapist 1200 112th Ave Ne Ste C260, Bellevue, WA 98004 2006-11-29

Office Location

Street Address 1051 JOHNSTON WILLIS DR.
ST. 200
City RICHMOND
State VA
Zip Code 23235

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942286042 David A. Bettinger Surgery 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 2005-12-20
1457339434 Raymond G. Makhoul Surgery 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 2006-01-09
1548248966 Richard L Binns Surgery 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 2006-01-05
1538146238 Steven E. Swartz Surgery 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 2005-12-23
1366429037 Venkataraman Santosh Surgery 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 2005-12-23
1023095718 John W. Hyslop Surgery 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 2005-12-23
1558348250 Ruth B. Felsen Surgery 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 2005-12-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588275770 Melani Jones Social Worker 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 2020-08-12
1447880109 Sara Hudson Pharmacist 2821 Hicks Rd, North Chesterfield, VA 23235 2020-01-22
1730729096 Mary Tabitha Varney Counselor 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 2020-01-14
1093355133 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 2015 Huguenot Road, North Chesterfield, VA 23235 2020-01-07
1255975983 Louise Rutledge Psychiatry & Neurology 1429 Buford Rd, N. Chesterfield, VA 23235 2019-11-06
1114489317 Therapeutic Learning Consortium LLC Counselor 8154 Forest Hill Ave Ste 2, North Chesterfield, VA 23235 2019-04-05
1013400332 Shawmika Wright Social Worker 1301 Whitehead Road, Richmond, VA 23235 2018-06-11
1912490608 Cara Whiting Physical Therapist 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 2018-06-07
1003324682 David E Fortin Hearing Instrument Specialist 10441 Midlothian Turnpike, Richmond, VA 23235 2018-01-17
1053836544 Hannah Katherine Chisholm Physical Therapist 1400 Johnston-willis Drive, Richmond, VA 23235 2017-08-07
Find all providers in zip 23235

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508388554 Bon Secours-st. Mary's Hospital of Richmond, Inc. Surgery 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 2017-07-12
1952668667 Catalina Mosquera Surgery Vcuhs Dept of General Surgery/ Surgical Oncology, 1250 E. Marshall Street, Richmond, VA 23298 2012-04-19
1700151586 Manikoth G Kurup Surgery 126 Lindenhurst, Richmond, VA 23238-6163 2012-03-13
1467725564 James Ryland Darden Jr. Surgery 9960 Mayland Dr, Richmond, VA 23233-1485 2012-02-21
1487922183 Bon Secours-virginia Healthsource Inc Surgery 5855 Bremo Rd Ste 506, Richmond, VA 23226-1925 2011-12-08
1790075570 Sylvester N Osayi Surgery 1050 Reid Parkway, Suite 120, General Surgeons, Richmond, IN 47374-1156 2011-04-13
1720383953 Wyatt Sanford Beazley IIi Surgery 2320 Monument Avenue, Richmond, VA 23220-2604 2011-01-19
1881823821 Peter E Miller Surgery 7605 Forest Ave Ste 308, Richmond, VA 23229-4939 2009-07-13
1447417480 Silas Mbasera Chikunguwo Surgery 3406 Bartley Pond Pl, Surgery, Richmond, VA 23233-1465 2008-05-19
1598969180 Terrell Ann Singleton Surgery 5418 W. Grand Parkway South, Suite C, Richmond, TX 77406-5824 2007-06-14
Find all providers in RICHMOND

Competitor

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City RICHMOND
Zip Code 23235

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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